임상간호사의 안전분위기 인식과 약물 이상반응 보고 장애요인이 약물이상반응 모니터링 실천에 미치는 영향

Abstract

Purpose: The aim of this study was to impact describe the perception of safety and barriers to adverse drug reactions (ADR) reporting on clinical nurses' monitoring practice for ADR. Methods: A cross-sectional descriptive study wasconducted for 270 nurses working at two major general hospitals by convenience sampling. Data were collectedusing self-report structured questionnaires from May to June, 2017 and analyzed using the SPSS/WIN 22.0program. Results: The nurses' mean score of perceived safety climate was identified towards the hospital organizationlevel (34.41±7.12), towards the work unit level (66.32±9.42), towards the individual level (7.56±1.50) andtowards the ADR monitoring practice (32.68±5.42). ADR monitoring practices are positively correlated with thatof perceived safety climate at the work unit level and negatively correlated with the barriers to ADR reporting bothat the individual and organizational (p<.001) levels. Multiple regression analysis showed that perceived safety climateat the work unit level (β=.37), at the hospital organization level (β=-.18) and the individual barriers to ADRreporting (β=-.42) were found to be predictors of ADR monitoring practice (Adj R2=.36, F=16.38, p<.001). Conclusion: These findings suggest that an effective educational program needs to be developed to assist the clinicalnurses’ ADR monitoring practice by improving the nurses’ perception of safety climate at the work unit leveland reducing the barriers to ADR reporting.